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General NPI Number Information
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NPI Number | 1639294937
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Entity Type | Organization
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Legal Business Name | JMAR HOMES INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5604 NICHOLAS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-7212
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Country | US
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Telephone | 661-398-8260
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Fax | 551-398-8260
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Provider Business Mailing Address
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Address Line | 5604 NICHOLAS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-7212
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Country | US
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Telephone | 661-398-8260
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Fax | 551-398-8260
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ANTOINETTE MITCHELL
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Credential |
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Telephone | 661-398-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State | CA
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